Shahar Golan, Porcerelli John H, Kamoo Ray, Epperson C Neill, Czarkowski Kathryn A, Magriples Urania, Mayes Linda C
Department of Psychology, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
J Am Psychoanal Assoc. 2010 Oct;58(5):953-74. doi: 10.1177/0003065110392228. Epub 2010 Dec 14.
In an attempt to illustrate the relevance of psychoanalytic theory and research to behavior medicine, an empirical investigation was conducted of females treated at a high-risk pregnancy specialty clinic (N = 58). Drawing from psychoanalytic object relations theory, it was hypothesized and confirmed that use of projection as a defense mechanism during pregnancy, superimposed on simplistic object relations, predicted an erosion of patient-provider relationships during the pregnancy/postdelivery period. Findings are interpreted through the perspective of mentalization, pertaining to individuals' ability to understand the mental states of self and others, specifically under significant stress. Implications for psychoanalytically oriented assessment and treatment, and for the rift between psychoanalysis and research, are discussed.
为了阐明精神分析理论与研究对行为医学的相关性，我们对一家高危妊娠专科诊所收治的女性患者（N = 58）进行了实证研究。基于精神分析客体关系理论，我们提出并证实，孕期将投射作为一种防御机制，叠加在简单化的客体关系之上，预示着在孕期/产后阶段医患关系会受到损害。研究结果从心理化的角度进行了解释，心理化涉及个体理解自我和他人心理状态的能力，尤其是在重大压力下。文中还讨论了对精神分析导向的评估与治疗的启示，以及精神分析与研究之间的分歧。
